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首页> 外文期刊>Annals of Intensive Care >Demographics and outcomes of critically ill patients transferred from other hospitals to a tertiary care academic referral center in Saudi Arabia
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Demographics and outcomes of critically ill patients transferred from other hospitals to a tertiary care academic referral center in Saudi Arabia

机译：从其他医院转移到沙特阿拉伯的三级医疗学术转诊中心的重症患者的人口统计学和结局

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Background The objective of this study was to examine the outcomes of critically ill patients who were transferred from other hospitals to a tertiary care center in Saudi Arabia as a quality improvement project. Methods This was a retrospective study of adult patients admitted to the medical-surgical intensive care unit (ICU) of a tertiary care hospital. Patients were divided according to the source of referral into three groups: transfers from other hospitals, and direct admissions from emergency department (ED) and from hospital wards. Standardized mortality ratio (SMR) was calculated. Multivariate analysis was performed to determine the independent predictors of mortality. Results Of the 7,654 patients admitted to the ICU, 611 patients (8%) were transferred from other hospitals, 2,703 (35.3%) were direct admissions from ED and 4,340 (56.7%) from hospital wards. Hospital mortality for patients transferred from other hospitals was not significantly different from those who were directly admitted from ED (35% vs. 33.1%, p = 0.37) but was lower than those who were directly admitted from hospital wards (35% vs. 51.2%, p Conclusions Critically ill patients who were transferred from other hospitals constituted 8% of all ICU admissions. Mortality of these patients was similar to patients with direct admission from the ED and lower than that of patients with direct admission from hospital wards. However, risk-adjusted mortality was not different from the other two groups.
机译：背景技术这项研究的目的是检查作为质量改进项目从其他医院转移到沙特阿拉伯三级护理中心的重症患者的结局。方法这是一项对三级护理医院内科重症监护病房（ICU）住院的成年患者的回顾性研究。根据转诊来源将患者分为三类：从其他医院转诊，以及急诊科（ED）和医院病房的直接入院。计算标准化死亡率（SMR）。进行多变量分析以确定死亡率的独立预测因子。结果在ICU住院的7654例患者中，有611例（8％）从其他医院转移，急诊直接住院的有2703例（35.3％），医院病房的直接住院有4340例（56.7％）。从其他医院转诊的患者的死亡率与直接从急诊科住院的患者的死亡率无明显差异（35％对33.1％，p = 0.37），但低于直接从医院病房就诊的患者的死亡率（35％对51.2） ％，p结论从其他医院转诊的重症患者占所有ICU住院患者的8％，这些患者的死亡率与直接从ED住院的患者相似，但低于直接从医院病房直接住院的患者。风险调整后死亡率与其他两组无差异。

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